Individual provider Active NPI

Shantel Sunny

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1497625867
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36962 Issued in TN
Practice address
2215 West St Ste 100
Germantown, TN 38138-3874
Phone
(901) 440-8482
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36962 TN Primary

Addresses

Primary practice location

2215 West St Ste 100
Germantown, TN 38138-3874

Mailing address

509 Primrose CV
Memphis, TN 38117-3645
Phone (646) 265-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223004595 TN Practitioner - Nurse Practitioner 8628563996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2215 W St
Germantown, TN 38138-3874

PO Box
Germantown, TN 38183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36962TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Neurology PC CurrentSince Dec 8, 2025 Accepting new patients
E Arthur Franklin MD PC Past Accepting new patients

Locations

2215 West St
Ste 100
Germantown, TN 38138
Phone (901) 440-8482

2215 West St
Germantown, TN 38138
Phone (901) 440-8482

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1497625867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PRIMROSE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173645",
            "telephone_number": "646-265-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WEST ST STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383874",
            "telephone_number": "901-440-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNY",
        "first_name": "SHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.